Rachel Audrey Blake (NPI# 1265453161, PAC ID# 9931122827) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265453161 |
| PAC ID by PECOS | 9931122827 |
| Professional Enrollment ID | I20060105000920 |
| Full Name | Rachel Audrey Blake |
| Organization Legal Name | SOUTH LINCOLN FAMILY PHYSICIANS PC |
| Address |
4130 Pioneer Woods Dr 2 Primary Care Partners Lincoln NE 68506-7522 |
| Phone Number | 4024832987 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7214911270 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280013 | THE NEBRASKA MEDICAL CENTER |
| 280003 | BRYAN MEDICAL CENTER |
| 280020 | CHI HEALTH ST. ELIZABETH |
| Address | Phone | Organization |
|---|---|---|
| 4130 Pioneer Woods Dr, 2 Primary Care Partners, Lincoln, NE 68506-7522 | 4024832987 | SOUTH LINCOLN FAMILY PHYSICIANS PC |
| Organization Legal Name | SOUTH LINCOLN FAMILY PHYSICIANS PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan P Denell | Family Medicine | South Lincoln Family Physicians PC | 3201 Pioneers Blvd, Suite 304, Lincoln, NE 68502-5963 |
| James M Carraher | Family Medicine | South Lincoln Family Physicians PC | 3201 Pioneers Blvd, Suite 304, Lincoln, NE 68502-5963 |
| Angela Zavala | Nurse Practitioner | South Lincoln Family Physicians PC | 4130 Pioneer Woods Dr, 2 Primary Care Partners, Lincoln, NE 68506-7522 |
| Jaime K Dodge | Family Medicine | South Lincoln Family Physicians PC | 3201 Pioneers Blvd, Suite 304, Lincoln, NE 68502-5963 |
| Brandon D Webb | Family Medicine | South Lincoln Family Physicians PC | 3201 Pioneers Blvd, Suite 304, Lincoln, NE 68502-5963 |
| John Paul Majerus | Family Medicine | South Lincoln Family Physicians PC | 3201 Pioneers Blvd, Suite 304, Lincoln, NE 68502-5963 |
| Susan L Johnson | Family Medicine | South Lincoln Family Physicians PC | 3201 Pioneers Blvd, Suite 304, Lincoln, NE 68502-5963 |
| Greggory S Hurlbut | Family Medicine | South Lincoln Family Physicians PC | 3201 Pioneers Blvd, Suite 304, Lincoln, NE 68502-5963 |
| Street Address |
4130 PIONEER WOODS DR 2 PRIMARY CARE PARTNERS |
| City | LINCOLN |
| State | NE |
| Zip | 68506-7522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol L Ortlieb | Physical Therapy | Prairie Orthopaedic and Plastic Surgery, PC | 4130 Pioneer Woods Dr, Suite 1, Lincoln, NE 68506-7552 |
| Erica L Heiman | Physical Therapy | Prairie Orthopaedic and Plastic Surgery, PC | 4130 Pioneer Woods Dr, Suite 1, Lincoln, NE 68506-7552 |
| Shaun M Ring | Physician Assistant | Prairie Orthopaedic and Plastic Surgery, PC | 4130 Pioneer Woods Dr, Suite 1, Lincoln, NE 68506-7552 |
| Jessica A Fleming | Chiropractic | 4130 Pioneer Woods Dr, 3 Active Chiro Care, Lincoln, NE 68506-7552 | |
| Shannon J Korth | Physician Assistant | Prairie Orthopaedic and Plastic Surgery, PC | 4130 Pioneer Woods Dr, Suite 1, Lincoln, NE 68506-7552 |
| Andrew C Butzke | Chiropractic | 4130 Pioneer Woods Dr, Suite 3, Lincoln, NE 68506-7552 | |
| Patrick T Hurlbut | Orthopedic Surgery | Prairie Orthopaedic and Plastic Surgery, PC | 4130 Pioneer Woods Dr, Suite 1, Lincoln, NE 68506-7552 |
| Gustavo R Machado | Plastic and Reconstructive Surgery | Prairie Orthopaedic and Plastic Surgery, PC | 4130 Pioneer Woods Dr, Suite 1, Lincoln, NE 68506-7552 |
| Matthew R Byington | Orthopedic Surgery | Prairie Orthopaedic and Plastic Surgery, PC | 4130 Pioneer Woods Dr, Suite 1, Lincoln, NE 68506-7552 |
| Kyle D Shunkwiler | Chiropractic | 4130 Pioneer Woods Dr, Suite 3, Lincoln, NE 68506-7552 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurel B Van Ham | Psychologist, Clinical | 4150 S St, Lincoln, NE 68506-1152 | |
| Jeffrey E Jarrett | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Kevin J Reichmuth | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Radu F Neamu | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Ali Piper | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Erin N Moses | Physician Assistant | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Sarah R Dolezal | Physician Assistant | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Ann E Walker | Nurse Practitioner | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| John F Trapp | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Jonathan Lee Spencer | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Find all physicians in zip 68506 | |||
| City | LINCOLN |
| Zip Code | 68506 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LINCOLN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Rachel Audrey Blake.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.